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Contrast media‐enhanced power Doppler sonography for evaluation of hemangiomas and malignant tumors in the liver      
Yazarlar (3)
Aydın Karabacakoğlu
Serdar Karaköse
Türkiye
Dr. Öğr. Üyesi Ahmet Said ÇİL Dr. Öğr. Üyesi Ahmet Said ÇİL
Kırşehir Ahi Evran Üniversitesi, Türkiye
Devamını Göster
Özet
To evaluate the characterization of liver hemangiomas and malignant tumors using power Doppler sonography before and after intravenous injection of a sonocontrast agent. Forty-five patients with 57 liver tumors (22 hemangiomas, 24 metastases, 10 hepatocellular carcinomas (HCC) and one cholangiocellular carcinoma) were examined prospectively. The distribution (peripheral, central, mosaic) and extent (none, minimal, moderate and strong) of intratumoral flow pattern in each sonographic examination was subjectively classified. The administration of the sonocontrast agent by bolus injection caused enhancement to gradually increase up to 2 min and lasted for 4-5 min. After injection of contrast agent, flow signals appeared or increased in 34 tumors. No signal enhancement was observed in 18 hemangiomas, four metastases and one HCC. The sensitivity and specificity of intratumoral vascularity for the detection of malignant liver tumors was 37.1 and 90.9% for unenhanced power Doppler sonography, and 85.7 and 81.8% for contrast-enhanced power Doppler sonography, respectively. Contrast-enhanced power Doppler sonography is superior to unenhanced power Doppler sonography in the demonstration of malignant tumor vascularity, and is helpful in differentiating between hemangiomas and malignant liver tumors. A specific flow pattern within the tumor is not established in primary and metastatic malignant tumors with contrast-enhanced power Doppler sonography.
Anahtar Kelimeler
Levovist | liver | power Doppler ultrasonography
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Wiley
Dergi ISSN 0815-9319 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q2
Makale Dili Türkçe
Basım Tarihi 12-2002
Cilt No 18
Sayı 1
Sayfalar 92 / 98
Doi Numarası 10.1046/j.1440-1746.2003.02900.x